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乳腺癌中的年龄交互作用:一项在中国进行的为期10年的多中心研究分析

Age interactions in breast cancer: an analysis of a 10-year multicentre study in China.

作者信息

Yang H J, Yu X F, He X M, Fan J H, Li J, Xu F, Zhang B N, Tang Z H, Zheng S, Qiao Y L

机构信息

Department of Breast Surgery, Zhejiang Cancer Hospital, Banshanqiao, Hangzhou, China.

出版信息

J Int Med Res. 2012;40(3):1130-40. doi: 10.1177/147323001204000333.

Abstract

OBJECTIVES

The effects of age at diagnosis on the clinical characteristics of breast cancer and trends over time were investigated in Chinese women.

METHODS

Data from 4211 women with pathologically confirmed primary breast cancer collected between 1999 and 2008 for a multicentre retrospective study were analysed according to age at diagnosis.

RESULTS

Age at diagnosis ranged from 21 to 86 years, with a mean of 48.7 years, and was shown to be significantly related to tumour size, lymph node status, hormone receptor status and human growth factor receptor-2 status, but not to pathological type or tumour, node, metastasis stage. The age-corrected proportion of patients aged 50-64 years at diagnosis increased significantly between 1999 and 2008. There was a significant difference in the age-corrected distribution of age at diagnosis in China compared with Western countries.

CONCLUSIONS

Age at diagnosis is related to the clinical and pathological characteristics of breast cancer. The age at diagnosis in China increased over the decade from 1999 to 2008, but is still lower than in Western countries.

摘要

目的

在中国女性中研究确诊年龄对乳腺癌临床特征的影响以及随时间的变化趋势。

方法

对1999年至2008年间收集的4211例经病理确诊的原发性乳腺癌女性患者的数据进行多中心回顾性研究,并根据确诊年龄进行分析。

结果

确诊年龄范围为21至86岁,平均年龄为48.7岁,结果显示确诊年龄与肿瘤大小、淋巴结状态、激素受体状态及人类生长因子受体2状态显著相关,但与病理类型或肿瘤-淋巴结-转移分期无关。1999年至2008年间,确诊时年龄在50 - 64岁的患者经年龄校正后的比例显著增加。与西方国家相比,中国确诊年龄的年龄校正分布存在显著差异。

结论

确诊年龄与乳腺癌的临床和病理特征相关。1999年至2008年这十年间,中国乳腺癌的确诊年龄有所增加,但仍低于西方国家。

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